Training non-physicians to do endoscopy: Feasibility, effectiveness and cost-effectiveness. Issue 3 (June 2016)

• Record Type: Journal Article
• Authors: Ruco, A.; Walsh, C.M.; Cooper, M.A.; Rabeneck, L.
• Is Part Of: Best practice & research. Volume 30:Issue 3(2016)
• Page Start: 389
• Page End: 396
• Publication Date: 2016-06
• Subjects: Endoscopy -- Non-physician -- Colorectal cancer screening; Gastroenterology -- Periodicals; Gastrointestinal system -- Diseases -- Periodicals; Gastrointestinal Diseases; Gastroenterology; Klinische geneeskunde; Gastro-enterologie; Gastroenterology; Gastrointestinal system -- Diseases; Periodicals; 616.33005
• DOI: 10.1016/j.bpg.2016.04.006
• Languages: English
• ISSNs: 1521-6918

Abstract

Abstract: Colorectal cancer (CRC) is one of the most common cancers in women and men worldwide. Training non-physicians including nurses, nurse practitioners, and physician assistants to perform endoscopy can provide the opportunity to expand access to CRC screening as demand for endoscopic procedures continues to grow. A formal program, incorporating didactic instruction and hands-on practice in addition to oversight, is required to train non-physicians to perform endoscopy as safely and effectively as physicians. Additionally, the context in which the non-physician endoscopy program is organized will dictate key program characteristics including remuneration, participant recruitment and professional and legal considerations. This review explores the evidence in support of non-physician based endoscopy, potential challenges in implementing non-physician endoscopy and requirements for a high-quality program to support training and implementation.